Title
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Association between long-term weight loss and obesity-related complications defined by Edmonton obesity staging system : analysis from the NHANES (2011-2018)
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Author
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Abstract
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BACKGROUND/OBJECTIVE: A successful Long-Term Weight Loss (LTWL) is associated with a more favorable metabolic disease risk profile. However, evidence is limited on the association of LTWL with obesity-related complications defined by Edmonton obesity staging system (EOSS). Hence, our study aims to assess the association between LTWL thresholds and obesity-related complications defined by EOSS among the adult US population.SUBJECTS/METHODS: We used data from the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2018. Adults 18 years or older with overweight/obesity and long-term weight loss were included in the analysis. The association between long-term weight loss and obesity-related complications defined by EOSS was investigated. A multivariable logistic regression model was employed by adjusting for potential covariates.RESULTS: A total of 22,223 adults were included in the analysis. Overall, 61.8% of participants had long-term weight loss of <5%, and 4.8% of participants had successful long-term weight loss of 20% or greater. The highest long-term weight loss threshold (= 20%) had the lowest odds of EOSS stage = 2 (odds ratio [OR] = 0.60; 95% CI:0.50, 0.72; p < 0.001). The lowest LTWL threshold (5-9.9%) was relatively associated with lower odds for EOSS stage = 2 [OR = 0.69 95% CI: 0.61, 0.78, p < 0.001].CONCLUSIONS: The LTWL categories were significantly associated with lower odds of EOSS stage = 2 compared to EOSS 0 or 1. Future longitudinal research assessing the association between LTWL and EOSS components is recommended. |
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Language
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English
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Source (journal)
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European journal of clinical nutrition. - London, 1988, currens
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Publication
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London
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Springernature
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2024
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ISSN
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0954-3007
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DOI
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10.1038/S41430-023-01342-3
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Volume/pages
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78
(2024)
, p. 43-47
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ISI
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001068670600002
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Pubmed ID
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37715006
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Full text (Publisher's DOI)
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